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乳腺癌血管生成拟态和免疫微环境关系的初步探索

黄竞 栾飞扬 马欣越 安亦扬 胡思睿 刘希 杨谨 董丹凤

武警医学2025,Vol.36Issue(1):16-20,5.
武警医学2025,Vol.36Issue(1):16-20,5.

乳腺癌血管生成拟态和免疫微环境关系的初步探索

Preliminary exploration of the relationship between vasculogenic mimicry and immune microenvironment in breast cancer

黄竞 1栾飞扬 1马欣越 1安亦扬 1胡思睿 1刘希 2杨谨 1董丹凤1

作者信息

  • 1. 710061,西安交通大学第一附属医院肿瘤内科
  • 2. 710061,西安交通大学第一附属医院病理科
  • 折叠

摘要

Abstract

Objective To understand the relationship between the clinicopathological features of breast cancer and the expres-sion of vasculogenic mimicry(VM)and CD8+T cells.Futher to explore the correlation between VM and immune microenvironment.Methods 60 cases of breast cancer tissue samples were collected to make tissue chip.The expression of VM was detected by CD31/PAS double staining.IHC was used to assess the expression of CD8+T cells.The relationship among VM expression,CD8+T cell ex-pression and clinicopathological characteristics were analyzed,so as to infer the relationship between VM and CD8+T cells.Results Among 60 cases of breast cancer tissue samples,VM was detected in 24 cases(40%).The positive rate of VM in pathlogi-cal grade G3 was 63.2%,while it was 29.3%in tissues from G1 and G2.The difference was statistically significant(x2=6.213,P=0.013).The positive detection rate of VM in stage 111(54.5%)was significantly higher than that in stage Ⅰ/Ⅱ(x2=6.231,P=0.044).The positive expression of VM in triple negative type was significantly higher than that in other molecular types,and the difference was statistically significant(x2=14.0,P<0.001).There was no significant difference in the detection rate of VM with age and histological types.The positive expression of CD8+T cells was detected in 26 cases(43.3%).The positive expression of CD8+T cells in triple negative breast cancer(TNBC)was significantly lower than that in other molecular subtypes,and the difference was sta-tistically significant(x2=7.454,P=0.006).There was no significant difference in the expression of CD8+T cells among age,histo-logical type,pathological grade and clinical stage.There was a significant difference in the expression of CD8+T cells between VM negative and positive in the whole samples(x2=11.584,P<0.001),but there was no significant difference in TNBC samples(x2=1.313,P=0.252).Conclusion VM formation is more common in advanced and poorly differentiated breast cancer,especially in TN-BC,and CD8+T cells are more common in non-TNBC.In breast cancer with significant VM formation,CD8+T lymphocytes are often less.

关键词

乳腺癌/血管生成拟态/肿瘤免疫微环境/CD8+T淋巴细胞

Key words

breast cancer/vasculogenic mimicry/tumor im-mune microenvironment/CD8+T lymphocytes

分类

医药卫生

引用本文复制引用

黄竞,栾飞扬,马欣越,安亦扬,胡思睿,刘希,杨谨,董丹凤..乳腺癌血管生成拟态和免疫微环境关系的初步探索[J].武警医学,2025,36(1):16-20,5.

基金项目

国家自然科学基金项目(82002803) (82002803)

陕西省重点研发计划(2020SF-029) (2020SF-029)

吴阶平医学基金项目(320.6750.2021-10-84) (320.6750.2021-10-84)

武警医学

1004-3594

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